Anaesthesia and Intensive Care最新文献_第4页

Is patient data measurement and recording important in advancing healthcare studies? 患者数据的测量和记录对推进医疗保健研究是否重要？

IF 1.1 4区医学

Anaesthesia and Intensive Care Pub Date : 2024-09-01 Epub Date: 2024-09-05 DOI: 10.1177/0310057X241253853

Martin D Culwick, Rachel Ling, Kavita Sen, Yasmin Endlich, André A van Zundert

引用次数: 0

A pre and post interventional audit of an 'apple juice on arrival' protocol to reduce excessive clear fluid fasting times in paediatric patients. 对 "到达时喝苹果汁 "方案进行干预前后审核，以减少儿科患者禁食过多清水的时间。

IF 1.1 4区医学

Anaesthesia and Intensive Care Pub Date : 2024-09-01 Epub Date: 2024-08-30 DOI: 10.1177/0310057X241263112

Ashley R Webb, Ikram Kalam, Nicholas Lui, Rachael M Loughnan, Samuel Leong

{"title":"A pre and post interventional audit of an 'apple juice on arrival' protocol to reduce excessive clear fluid fasting times in paediatric patients.","authors":"Ashley R Webb, Ikram Kalam, Nicholas Lui, Rachael M Loughnan, Samuel Leong","doi":"10.1177/0310057X241263112","DOIUrl":"10.1177/0310057X241263112","url":null,"abstract":"Many studies have reported prolonged fasting times in children, associated with negative metabolic and behavioural outcomes. We felt that although our paediatric preoperative clear fluid fasting guideline was only for 2 hours, prolonged fasting still occurred for some patients. We conducted an audit of paediatric fasting times, before and after introducing a new protocol of 'apple juice on arrival', in which, on arrival to the children's ward, all children received 3 ml/kg of apple juice. Data were collected prospectively from patients and their parents for two 4-week periods (before and after introduction of the protocol). Data included fasting time (solids and clear fluids), capillary blood glucose levels, knowledge of fasting requirements and sources of fasting information before surgery. Thirty-nine and 40 children, respectively, were included in each group before and after protocol introduction. Clear fluid fasting times reduced from an average of 9.9 hours pre-intervention to 3.5 hours post intervention (P < 0.01). In addition, mean preoperative blood sugar levels increased from 4.9 mmol/L (pre-intervention group) to 5.6 mmol/L in the post-intervention group (P < 0.001). The implementation of an apple juice on arrival protocol appeared to be an effective method to reduce clear fluid fasting times in children in our institution.","PeriodicalId":7746,"journal":{"name":"Anaesthesia and Intensive Care","volume":" ","pages":"328-334"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142103607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Routine cognitive screening for older people undergoing major elective surgery: Benefits, risks and costs. 对接受重大择期手术的老年人进行常规认知筛查：益处、风险和成本。

IF 1.1 4区医学

Anaesthesia and Intensive Care Pub Date : 2024-09-01 Epub Date: 2024-08-30 DOI: 10.1177/0310057X241232421

Luke Km Chan, Alwin Chuan, Christophe R Berney, Daniel Ky Chan

{"title":"Routine cognitive screening for older people undergoing major elective surgery: Benefits, risks and costs.","authors":"Luke Km Chan, Alwin Chuan, Christophe R Berney, Daniel Ky Chan","doi":"10.1177/0310057X241232421","DOIUrl":"10.1177/0310057X241232421","url":null,"abstract":"Cognitive impairment and older age are major risk factors for postoperative delirium. Professional societies have advocated preoperative screening to identify at-risk individuals for implementation of interventions, which have moderate effectiveness in preventing delirium. However, it remains unclear from the guidelines whether screening should be completed routinely for all older individuals or targeted, and also which specific screening tool is preferred. In addition, the responsibility for screening remains undesignated in the guidelines provided. We reviewed the benefits and risks of routine screening. We also performed a cost-benefit analysis of routine screening (versus no screening). Furthermore, we summarised the sensitivities and specificities of commonly used screening tools and reviewed evolving screening tools that may have an increasing role in future practice. We concluded that routine screening is useful and appears to be cost-effective for reducing postoperative delirium, with a cost-benefit ratio of 2.89 (adjusted ratio of 2.34), and has additional advantages over other approaches such as targeted screening or routine intervention.","PeriodicalId":7746,"journal":{"name":"Anaesthesia and Intensive Care","volume":" ","pages":"275-282"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142103611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Experiences of pursuing an intensivist career in regional and rural Australia: An interview study. 在澳大利亚地区和农村地区从事重症监护职业的经历：访谈研究。

IF 1.1 4区医学

Anaesthesia and Intensive Care Pub Date : 2024-07-01 Epub Date: 2024-06-16 DOI: 10.1177/0310057X241242813

Benjamin K Cheung, James G Anderson, Alexander J Giles, Priya Martin

{"title":"Experiences of pursuing an intensivist career in regional and rural Australia: An interview study.","authors":"Benjamin K Cheung, James G Anderson, Alexander J Giles, Priya Martin","doi":"10.1177/0310057X241242813","DOIUrl":"10.1177/0310057X241242813","url":null,"abstract":"The regional and rural intensivist workforce is vital to delivering high standards of healthcare to all Australians. Currently, there is an impending workforce disaster, with higher senior medical officer vacancy rates among regional and rural intensive care units, with these units being staffed by junior doctors who are in earlier stages of their training, which in turn increases supervisory burden. There is a lack of comprehensive literature on the barriers and enablers of training, recruiting and retaining regional and rural intensivists. To address this gap, a qualitative study was conducted, involving 13 in-depth, structured interviews with full-time and part-time intensivists from eight Australian regional and rural hospitals. Content analysis of the interview data resulted in the identification of four major categories: unique practice context, need for a broad generalist skill set, perks and challenges of working in a regional/rural area and workforce implications. The study findings revealed that regional and rural intensive care practice offers positive aspects, including work satisfaction, supportive local teams and an appealing lifestyle. However, these benefits are counterbalanced by challenges such as a heavier burden of on-call work, a higher proportion of junior staff which increase supervisory burden and limited access to subspecialist services. The implications of these findings are noteworthy and can be utilised to inform government policies, hospitals, the College of Intensive Care Medicine and the Australian and New Zealand College of Anaesthetists in developing strategies to enhance the provision of intensive care services and improve workforce planning in regional and rural areas.","PeriodicalId":7746,"journal":{"name":"Anaesthesia and Intensive Care","volume":" ","pages":"223-231"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141327033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pain and psychopathology after intensive care unit admission. 入住重症监护室后的疼痛和心理病理学。

IF 1.1 4区医学

Anaesthesia and Intensive Care Pub Date : 2024-07-01 Epub Date: 2024-06-16 DOI: 10.1177/0310057X241226716

Nour Smaisim, Mienke Rijsdijk, Yuri van der Does, Arjen Jc Slooter

{"title":"Pain and psychopathology after intensive care unit admission.","authors":"Nour Smaisim, Mienke Rijsdijk, Yuri van der Does, Arjen Jc Slooter","doi":"10.1177/0310057X241226716","DOIUrl":"10.1177/0310057X241226716","url":null,"abstract":"Pain and psychopathology are observed in 18% and 55% of patients, respectively, 1 year after intensive care unit (ICU) admission. It is well known that chronic pain and psychopathology have a bidirectional relation in the general population, but it is not known whether this holds true for ICU survivors. The aim of this study was to investigate whether pain before, during and after ICU admission is related to psychopathology in ICU survivors 1 year after discharge. We performed a cohort study in a mixed ICU in the Netherlands between 2013 and 2016. At 1-year follow-up, patients completed the Hospital Anxiety and Depression Scale, the Impact of Event Scale/Impact of Event Scale-Revised, and answered standardised questions regarding pain. Psychopathology was defined as having anxiety, depressive and/or post-traumatic stress disorder symptoms. We used multivariable logistic regression analysis to evaluate the association of pain before, during and after ICU admission with psychopathology at 1 year follow-up. We included 1105 patients of whom 558 (50%) (95% confidence interval (CI) 0.48 to 0.54) had psychopathology at 1 year follow-up. Pain before ICU admission (odds ratio (OR) 1.18; 95% CI 1.10 to 1.26) and pain after ICU admission (OR 2.38; 95% CI 1.68 to 3.35) were associated with psychopathology. Pain during ICU stay was not associated with psychopathology, but the memory of insufficient pain management during ICU stay was (OR 2.19; 95% CI 1.39 to 3.45). Paying attention to pain and pain treatment experiences related to ICU admission may therefore contribute to early identification of ICU survivors at risk of psychopathology development.","PeriodicalId":7746,"journal":{"name":"Anaesthesia and Intensive Care","volume":" ","pages":"232-240"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11290044/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141327034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Awards for papers published in Anaesthesia and Intensive Care, 2022. 为 2022 年在《麻醉与重症监护》上发表的论文颁奖。

IF 1.1 4区医学

Anaesthesia and Intensive Care Pub Date : 2024-07-01 Epub Date: 2024-06-16 DOI: 10.1177/0310057X241257815

John A Loadsman, Michael G Cooper

引用次数: 0

Anaesthetic management of a parturient with hypokalaemic periodic paralysis for caesarean section: A case report and review of the literature. 剖腹产低钾周期性麻痹产妇的麻醉管理：病例报告和文献综述。

IF 1.1 4区医学

Anaesthesia and Intensive Care Pub Date : 2024-07-01 Epub Date: 2024-06-16 DOI: 10.1177/0310057X231178840

Rachel M Vassiliadis

引用次数: 0

Survival in hostile environments: Flying in the stratosphere. 在恶劣环境中生存：在平流层飞行

IF 1.1 4区医学

Anaesthesia and Intensive Care Pub Date : 2024-07-01 Epub Date: 2024-06-16 DOI: 10.1177/0310057X241253669

Peter J Featherstone, Christine M Ball

引用次数: 0

Awards for papers published in Anaesthesia and Intensive Care, 2022. 为 2022 年在《麻醉与重症监护》上发表的论文颁奖。

IF 1.5 4区医学

Anaesthesia and Intensive Care Pub Date : 2024-06-16 DOI: 10.1177/0310057X241257815

John A Loadsman, Michael G Cooper

引用次数: 0

Development of a symbiotic culture of bacteria and yeast (SCOBY) farm to manufacture artificial skin for front of neck airway access simulation. 开发细菌和酵母（SCOBY）共生培养农场，用于制造颈前气道通路模拟人工皮肤。

IF 1.1 4区医学

Anaesthesia and Intensive Care Pub Date : 2024-05-01 Epub Date: 2024-02-06 DOI: 10.1177/0310057X231213109

Jeremy S Young, Raja R Palepu, Melita Macdonald, James R Mcalpine, James R Broadbent

引用次数: 0